5AK-33029-89105
6 vaccinations
4 coded responses
64 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 631 / MO
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Pfizer-BioNTech
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 1MedDRA: Urticaria — Feeling: Fair · Site: Itching · Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection siteFree text: Had hives on forearms for about 1 hour last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-11
-
2021-03-16
Dose 2 — Pfizer-BioNTech
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Muscle or body aches, DiarrheaAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-15
- 2021-09-14
-
2021-11-15
Dose 3 — Pfizer-BioNTech
- 2021-11-15
-
2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
-
2021-11-29
Survey response — day 14, dose 3MedDRA: Body temperature increased, Chills, Flank pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have hydronephritis. I am waiting for a procedure but I had significant pain in left flank yesterday and today had a low grade temp and chills.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-06
Survey response — day 21, dose 3MedDRA: Muscular weakness, Myalgia, Nephrostomy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Placement of a nephrostomy tube in left kidney. Followed by increasing muscle pain and weakness after surgery. No difinitive diagnosis for these conditions. Possible anesthesia reaction, polyneuritisMedDRA releases: 2024-11 · check-in free text available
-
2021-12-06
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2021-12-07
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-02-14
-
2022-05-24
Dose 4 — Moderna
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-07
- 2022-06-16
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-08-23
-
2022-11-22
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Covid 19. Diagnosed 10:6/23MedDRA releases: 2024-11 · check-in free text available
-
2022-12-27
Dose 5 — Pfizer-BioNTech
-
2023-05-11
Dose 6 — Pfizer-BioNTech
-
2023-05-12
Health check-in — days 1–6 daily, dose 6Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2023-05-13
- 2023-05-14
- 2023-05-15
- 2023-05-16
- 2023-05-17
- 2023-05-18
- 2023-05-25
- 2023-06-01
- 2023-06-08
- 2023-06-15
- 2023-06-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-16 | Pfizer-BioNTech | |
| 3 | 2021-11-15 | Pfizer-BioNTech | No |
| 4 | 2022-05-24 | Moderna | No |
| 5 | 2022-12-27 | Pfizer-BioNTech | No |
| 6 | 2023-05-11 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Had hives on forearms for about 1 hour last night
Release 10 — day 14, dose 3
Symptoms: I have hydronephritis. I am waiting for a procedure but I had significant pain in left flank yesterday and today had a low grade temp and chills.
Release 10 — day 21, dose 3
Symptoms: Placement of a nephrostomy tube in left kidney. Followed by increasing muscle pain and weakness after surgery. No difinitive diagnosis for these conditions. Possible anesthesia reaction, polyneuritis
Release 12 — 6 months, dose 4
Symptoms: Covid 19. Diagnosed 10:6/23
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Body temperature increased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nephrostomy | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release